What is the best treatment for Colon cancer stage 4?
Wheter surgery or chemotherapy?
Else suggestion, please?
Thanks
some how there is a puncture in the liver
Thanx a lot ![]()
Thank you for the answer Grizzler….. I appreciated it much.
What is the % chances of success in Colon Cancer Treament?
Thanks heckkon…. ![]()
Thank you Yagen ![]()
The below suggestions highlight why internet searches can be harmful to people. Unfortunately, the likelyhood is that with stage 4 (Dukes D) colonic cancer, there will be no curative treatment. It has spread to other organs, most commonly the liver, but also the lungs and potentially the bones. The latter two are less common, but are more common in rectal cancers.
Treatment options. Most of the time the primary bowel tumour will be removed, mainly to prevent the chance of obstruction of the bowel, which can obviously cause major problems. At the operation, the extent of the liver mets will also be assessed, sometimes using intra-operative USS, other times just manually feeling the liver. If there is a solitary lesion, or multiple lesions in one lobe of the liver, then there is a chance of curative treatment.
An MRI will usually be performed as it gives finer detail of the liver and ensures there are no other smaller mets not visible on CT or other modes of imaging. Post bowel surgery, normally give chemotherapy (several regimens available) and then re-scan to see if the liver disease has changed in the interval. If it is still deemed operable, then hepatectomy may be possible if there is enough residual liver left.
If as is most often the case, liver surgery is not possible, then post resection chemotherapy will be offered, with the hope of improving the survival.
If bowel surgery is not an option, then palliative chemotherapy will be offered, sometimes with radiotherapy depending on the site of the tumour, and the symptoms.